WO2011127211A3 - Procédés, système et appareil pour la détection, le diagnostic et le traitement de troubles du rythme biologique - Google Patents

Procédés, système et appareil pour la détection, le diagnostic et le traitement de troubles du rythme biologique Download PDF

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Publication number
WO2011127211A3
WO2011127211A3 PCT/US2011/031470 US2011031470W WO2011127211A3 WO 2011127211 A3 WO2011127211 A3 WO 2011127211A3 US 2011031470 W US2011031470 W US 2011031470W WO 2011127211 A3 WO2011127211 A3 WO 2011127211A3
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WO
WIPO (PCT)
Prior art keywords
diagnosis
detection
treatment
methods
rhythm disorders
Prior art date
Application number
PCT/US2011/031470
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English (en)
Other versions
WO2011127211A2 (fr
Inventor
Sanjiv M. Narayan
Ruchir Sehra
Original Assignee
The Regents Of The University Of California
Topera Medical, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to BR112012025468A priority Critical patent/BR112012025468A2/pt
Priority to AU2011237661A priority patent/AU2011237661B2/en
Priority to JP2013503931A priority patent/JP5946187B2/ja
Priority to CA2795770A priority patent/CA2795770A1/fr
Priority to EP11715804.8A priority patent/EP2555674B1/fr
Priority to MX2012011613A priority patent/MX2012011613A/es
Application filed by The Regents Of The University Of California, Topera Medical, Inc. filed Critical The Regents Of The University Of California
Priority to RU2012146904/14A priority patent/RU2556974C2/ru
Priority to KR1020127029390A priority patent/KR20130057998A/ko
Priority to CN201180025878.5A priority patent/CN102917637B/zh
Publication of WO2011127211A2 publication Critical patent/WO2011127211A2/fr
Publication of WO2011127211A3 publication Critical patent/WO2011127211A3/fr
Priority to IL222252A priority patent/IL222252A/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/0255—Recording instruments specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/339—Displays specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/339—Displays specially adapted therefor
    • A61B5/341—Vectorcardiography [VCG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/35—Detecting specific parameters of the electrocardiograph cycle by template matching
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/352—Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/363—Detecting tachycardia or bradycardia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366—Detecting abnormal QRS complex, e.g. widening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4857—Indicating the phase of biorhythm
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7221—Determining signal validity, reliability or quality
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7278—Artificial waveform generation or derivation, e.g. synthesising signals from measured signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7253—Details of waveform analysis characterised by using transforms
    • A61B5/726—Details of waveform analysis characterised by using transforms using Wavelet transforms

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Physiology (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Evolutionary Computation (AREA)
  • Mathematical Physics (AREA)
  • Fuzzy Systems (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un système, un ensemble et un procédé destinés à faciliter la reconstruction d'informations cardiaques représentant un trouble du rythme complexe associé au cœur d'un patient, pour indiquer une source dudit trouble du rythme cardiaque. Ce trouble du rythme complexe peut être traité par application d'énergie pour permettre de modifier la source du trouble du rythme.
PCT/US2011/031470 2010-04-08 2011-04-06 Procédés, système et appareil pour la détection, le diagnostic et le traitement de troubles du rythme biologique WO2011127211A2 (fr)

Priority Applications (10)

Application Number Priority Date Filing Date Title
AU2011237661A AU2011237661B2 (en) 2010-04-08 2011-04-06 Methods, system and apparatus for the detection, diagnosis and treatment of biological rhythm disorders
JP2013503931A JP5946187B2 (ja) 2010-04-08 2011-04-06 生物学的律動障害の検出、診断、および治療のための方法、システム、および装置
CA2795770A CA2795770A1 (fr) 2010-04-08 2011-04-06 Procedes, systeme et appareil pour la detection, le diagnostic et le traitement de troubles du rythme biologique
EP11715804.8A EP2555674B1 (fr) 2010-04-08 2011-04-06 Procédés, système et appareil pour la détection, le diagnostic et le traitement de troubles du rythme biologique
MX2012011613A MX2012011613A (es) 2010-04-08 2011-04-06 Metodos, sistema y aparato para la deteccion, diagnostico y tratamiento de transtornos del ritmo biologico.
BR112012025468A BR112012025468A2 (pt) 2010-04-08 2011-04-06 sistema para reconstruir sinais cardíacos associados a uma desordem de ritmo complexa recebida através de uma pluralidade de canais do coração de um paciente, montagem para reconstruir sinais cardíacos associados a uma desordem de ritmo complexa recebida através de uma pluralidade de canais do coração de um paciente e método de recontrução dos sinais cardíacos associados a uma desordem de ritmo complexa recebida através de uma pluralidade de canais do coração de um paciente
RU2012146904/14A RU2556974C2 (ru) 2010-04-08 2011-04-06 Способы, система и устройство для обнаружения, диагностики и лечения нарушений биологического ритма
KR1020127029390A KR20130057998A (ko) 2010-04-08 2011-04-06 생물학적 리듬 장애의 검출, 진단 및 처치를 위한 방법, 시스템 및 장치
CN201180025878.5A CN102917637B (zh) 2010-04-08 2011-04-06 用于检测、诊断和治疗生物节律紊乱的方法、系统和设备
IL222252A IL222252A (en) 2010-04-08 2012-10-09 A system, device and method for detecting and diagnosing biological arrhythmias

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US34201610P 2010-04-08 2010-04-08
US61/342,016 2010-04-08

Publications (2)

Publication Number Publication Date
WO2011127211A2 WO2011127211A2 (fr) 2011-10-13
WO2011127211A3 true WO2011127211A3 (fr) 2012-01-05

Family

ID=44369410

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/US2011/031468 WO2011127209A1 (fr) 2010-04-08 2011-04-06 Procédés, systèmes et appareil permettant la détection, le diagnostic et le traitement de troubles du rythme biologique
PCT/US2011/031470 WO2011127211A2 (fr) 2010-04-08 2011-04-06 Procédés, système et appareil pour la détection, le diagnostic et le traitement de troubles du rythme biologique

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2011/031468 WO2011127209A1 (fr) 2010-04-08 2011-04-06 Procédés, systèmes et appareil permettant la détection, le diagnostic et le traitement de troubles du rythme biologique

Country Status (12)

Country Link
US (7) US8700140B2 (fr)
EP (2) EP2555673B1 (fr)
JP (3) JP5936141B2 (fr)
KR (2) KR20130057998A (fr)
CN (6) CN105361879A (fr)
AU (4) AU2011237659B2 (fr)
BR (2) BR112012025468A2 (fr)
CA (2) CA2795767C (fr)
IL (3) IL222251A0 (fr)
MX (4) MX340276B (fr)
RU (4) RU2559639C2 (fr)
WO (2) WO2011127209A1 (fr)

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CN102917637B (zh) 2016-08-03
CA2795767A1 (fr) 2011-10-13

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